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Related Experiment Videos

[Non-ischemic borderline brachial paralysis].

Y De Smet1

  • 1Clinique Saint-Louis, Hôpital Régional du Nord, Ettelbruck, Grand-Duché de Luxembourg.

Acta Neurologica Belgica
|January 1, 1992
PubMed
Summary
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Non-ischemic anterior borderzone brachial paralysis (ABBP) can be reversible, often linked to inflammatory-edematous reactions rather than direct lesions. This finding suggests alternative terminology like "one-armed man syndrome" for unilateral cases.

Area of Science:

  • Neurology
  • Neuroscience
  • Vascular Neurology

Background:

  • Anterior borderzone brachial paralysis (ABBP) is a rare hemodynamic ischemic syndrome affecting the watershed zone between the anterior and middle cerebral arteries.
  • Traditionally, ABBP is associated with ischemic events, but non-ischemic causes are less understood.

Observation:

  • Two cases of non-ischemic, reversible ABBP are presented.
  • Case 1: A patient with multiple sclerosis exhibiting a corona radiata lesion in the anterior hemispheric borderzone.
  • Case 2: A patient with lung adenocarcinoma and a metastasis surrounded by edema in the anterior borderzone.

Findings:

  • The reversibility of ABBP in both cases suggests an inflammatory-edematous reaction as the primary cause, rather than the demyelinating or metastatic lesion itself.

Related Experiment Videos

  • The syndrome can manifest unilaterally, leading to the proposed term 'one-armed man syndrome'.

    • Implications:

    • This study expands the understanding of ABBP etiology, highlighting inflammatory-edematous processes as potential reversible causes.
    • The proposed 'one-armed man syndrome' offers a more accurate description for unilateral presentations, distinguishing it from the bilateral 'man-in-the-barrel syndrome'.